Neuropathic pain related with spinal disorders: A systematic review

Kwang Sup Song, Jae Hwan Cho, Jae-Young Hong, Jae Hyup Lee, Hyun Kang, Dae Woong Ham, Hyun Jun Ryu

Research output: Contribution to journalReview article

1 Citation (Scopus)

Abstract

Systematic literature review. To review the evidence from high-quality studies regarding the treatment of neuropathic pain originating specifically from spinal disorders. In general, treatment guidelines for neuropathic pain cover all its various causes, including medical disease, peripheral neuropathy, and cancer. However, the natural history of neuropathic pain originating from spinal disorders may differ from that of the pain originating from other causes or lesions. An expert research librarian used terms related to neuropathic pain and spinal disorders, disc herniation, stenosis, and spinal cord injury to search in MEDLINE, Embase, and Cochrane CENTRAL for primary research from January 2000 to October 2015. Among 2,313 potential studies of interest, 25 randomized controlled trials (RCTs) and 21 systematic reviews (SRs) were included in the analysis. The selection was decided based on the agreement of two orthopedic surgeons. There was a lack of evidence about medication for radiculopathy arising from disc herniation and stenosis, but intervention procedures, including epidural block, showed positive efficacy in radiculopathy and also limited efficacy in spinal stenosis. There was some evidence based on the short-term follow-up regarding surgery being superior to conservative treatments for radiculopathy and stenosis. There was limited evidence regarding the efficacy of pharmacological and electric or magnetic stimulation therapies for neuropathic pain after spinal cord injury. This review of RCTs and SRs with high-quality evidence found some evidence regarding the efficacy of various treatment modalities for neuropathic pain related specifically to spinal disorders. However, there is a need for much more supportive evidence.

Original languageEnglish
Pages (from-to)661-674
Number of pages14
JournalAsian Spine Journal
Volume11
Issue number4
DOIs
Publication statusPublished - 2017 Aug 1

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Keywords

  • Neuralgia
  • Radiculopathy
  • Spinal cord injuries
  • Spinal stenosis
  • Systematic review

ASJC Scopus subject areas

  • Surgery
  • Orthopedics and Sports Medicine

Cite this

Song, K. S., Cho, J. H., Hong, J-Y., Lee, J. H., Kang, H., Ham, D. W., & Ryu, H. J. (2017). Neuropathic pain related with spinal disorders: A systematic review. Asian Spine Journal, 11(4), 661-674. https://doi.org/10.4184/asj.2017.11.4.661